Provider Demographics
NPI:1861570517
Name:JEWISH ASSOCIATION FOR SERVICES FOR THE AGED
Entity type:Organization
Organization Name:JEWISH ASSOCIATION FOR SERVICES FOR THE AGED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINIC OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:YAMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALPERN KOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-273-5272
Mailing Address - Street 1:247 W. 37TH ST.
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-5706
Mailing Address - Country:US
Mailing Address - Phone:212-273-5200
Mailing Address - Fax:212-695-3096
Practice Address - Street 1:1490 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-6262
Practice Address - Country:US
Practice Address - Phone:718-365-4044
Practice Address - Fax:718-563-0715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7586150A261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00848164Medicaid
NYW10562Medicare ID - Type UnspecifiedMANHATTAN PROVIDER NO.
NY00848164Medicaid